Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LC1500X | Nurse Practitioner - Community Health | RN157954 | GA |
NPI | 1104441039 |
---|---|
Provider Name | April Monika Washington |
First Address | Albany, GA 31701-4701 |
Second Address | Cairo, GA 39828-2605 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/06/2020 |
Last Update Date | 16/06/2020 |